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		<title>任务凭证</title>
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	<body style="background-color:#eeeeee;">
		<div class="form-page form-shadow">
		<form class="layui-form" action="">
			<div class="form-conrner">SHHJ-04-15-01</div>
				<div class="form-title">
					<div class="form-company">上海化学工业检验检测有限公司</div>
					<h2>计量检定/校准/检测委托任务凭证</h2>
				</div>
				<div style="float: left;width:908px;">
					<table class="form-table">
						<colgroup span="100">
							<col width="40px"/>
							<col width="202px"/>
							<col width="120px"/>
							<col width="100px"/>
							<col width="85px"/>
							<col width="40px"/>
							<col width="40px"/>
							<col width="40px"/>
							<col width="40px"/>
							<col width="40px"/>
							<col width="40px"/>
							<col width="40px"/>
							<col width="40px"/>
							<col width="46px"/>
						</colgroup>
						<thead>
							<tr>
								<th colspan="7" style="text-align: left;padding-left:20px ;">合同号：SHHJ-</th>
								<th colspan="7" style="text-align:right;padding-right:20px ;">N<span style="text-decoration: underline;">o</span><span style="font-size:18px;color:red;">002502</span></th>
							</tr>
						</thead>
						<tbody>
							<tr>
								<td rowspan="4"><div>委托信息</div></td>
								<td><div>委托单位全称</div></td>
								<td colspan="7"><div></div></td>
								<td colspan="2"><div>委托日期</div></td>
								<td colspan="3"><div></div></td>
							</tr>
							<tr>
								<td><div>委托单位地址</div></td>
								<td colspan="13"><div></div></td>
							</tr>
							<tr>
								<td><div>证书单位地址</div></td>
								<td colspan="13"><div></div></td>
							</tr>
							<tr>
								<td><div>联系人</div></td>
								<td colspan="2"><div></div></td>
								<td><div>联系电话/传真</div></td>
								<td colspan="4"><div></div></td>
								<td colspan="2"><div>手机</div></td>
								<td colspan="3"><div></div></td>
							</tr>
							<tr>
								<td colspan="14"><div>仪器信息</div></td>
							</tr>
							<tr>
								<td rowspan="2" ><div>序号</div></td>
								<td rowspan="2"><div>仪器名称</div></td>
								<td rowspan="2"><div>型号/规格</div></td>
								<td rowspan="2"><div>仪器编号</div></td>
								<td rowspan="2"><div>附件(含资料)</div></td>
								<td rowspan="2"><div>数量</div></td>
								<td colspan="8"><div>委托服务类型及方式</div></td>
							</tr>
							<tr>
								<td><div>强检</div></td>
								<td><div>检定</div></td>
								<td><div>校准</div></td>
								<td><div>检测</div></td>
								<td><div>送检</div></td>
								<td><div>现场</div></td>
								<td><div>加急</div></td>
								<td><div>备注</div></td>
							</tr>
							<tr>
								<td><div></div></td>
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							</tr>
							<tr>
								<td colspan="2"><div>仪器接收检查</div></td>
								<td colspan="12">
									<div style="text-align: left;">
										<input type="checkbox" name="" title="仪器外观检查" lay-skin="primary">
										<input type="checkbox" name="" title="通电检查" lay-skin="primary"> <br/>
										注：1.电源电压110V及特殊事项需特别标注，并告知受理人员。<br/>
										2.玻璃仪器或其它易碎送检/校仪器，委托方应提供合适包装。
									</div>
								</td>
							</tr>
							<tr>
								<td colspan="2"><div>委托方要求</div></td>
								<td colspan="12">
									<div style="text-align: left;">
										<span style="display: inline-block;width:33%;">
											<input type="checkbox" name="" title="特殊要求：" lay-skin="primary">
										</span>
										
										<input type="checkbox" name="" title="代送外单位：" lay-skin="primary">
									</div>
								</td>
							</tr>
							<tr>
								<td colspan="2"><div>方法/依据</div></td>
								<td colspan="12">
									<div style="text-align: left;">
										<span style="display: inline-block;width:33%;">
											<input type="checkbox" name="" title="相应的校准规范/检定规程" lay-skin="primary">
										</span>
										<input type="checkbox" name="" title="其它：" lay-skin="primary">
									</div>
								</td>
							</tr>
							<tr>
								<td colspan="2"><div>仪器维修</div></td>
								<td colspan="12">
									<div style="text-align: left;">
										<span style="display: inline-block;width:33%;">	
											<input type="checkbox" name="" title="调整/维修前征得委托方同意" lay-skin="primary">
										</span>
										<span style="display: inline-block;width:33%;">
											<input type="checkbox" name="" title="全权委托调整修理" lay-skin="primary">
										</span>
										<input type="checkbox" name="" title="不修理" lay-skin="primary">
									</div>
								</td>
							</tr>
							<tr>
								<td colspan="2"><div>取样方式</div></td>
								<td colspan="12">
									<div style="text-align: left;">
										<span style="display: inline-block;width:33%;">
											<input type="checkbox" name="" title="自取" lay-skin="primary">
										</span>
										<input type="checkbox" name="" title="送货" lay-skin="primary">
									</div>
								</td>
							</tr>
							<tr style="height: 160px;">
								<td colspan="4">
									<div style="height: 160px;position:relative;text-align: left;">
										校准完成情况，附校准原始记录及证书。
										<div style="position:absolute;bottom:0px;right:5px;text-align:right;">
											校准员签字：<span style="width:110px ;display: inline-block;"></span>
											日期：<span style="width:50px ;display: inline-block;"></span>年
											<span style="width:40px ;display: inline-block;"></span>月
											<span style="width:40px ;display: inline-block;"></span>日
										</div>
									</div>
								</td>
								<td colspan="10">
									<div style="height: 160px;position:relative;text-align:left;">
										校准完成验收。
										<div style="position: absolute;bottom:0px;right:5px;float:right;">
											室主任签字：<span style="width:110px ;display: inline-block;"></span>
											日期：<span style="width:50px ;display: inline-block;"></span>年
											<span style="width:40px ;display: inline-block;"></span>月
											<span style="width:40px ;display: inline-block;"></span>日
										</div>
									</div>
								</td>
							</tr>
						</tbody>
					</table>
					<table class="form-table-bottom">
						<colgroup span="100">
							<col width="60%" />
							<col width="40%" />
						</colgroup>
						<tbody>
							<tr>
								<td colspan="2">
									委托方对委托凭证内容确认签名:
								</td>
							</tr>
							<tr>
								<td>
									受理人签名：
								</td>
								<td>
									受理单位盖章：
								</td>
							</tr>
							<tr>
								<td colspan="2">
									接待日期：
								</td>
							</tr>
							<tr>
								<td colspan="2">
									注：本委托单由委托方填写委托信息。
								</td>
							</tr>
						</tbody>
					</table>
				</div>
				<div style="width: 20px;margin-top:400px;padding-left:8px;float: left;word-wrap: break-word; 
	letter-spacing: 20px; ">
					<div style="width: 20px;">第一联&nbsp;受理方留存</div>
				</div>
			</div>
		</div>
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			layui.use(["form"],function(){
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